Eating Disorder Treatment

To heal and maintain well, you should adjust accordingly in your attitude and behaviour in addition to diet and medical therapy. Psychological counselling is an important aspect of the recovery process for anyone suffering from an eating problem. It allows them to figure out what causes their eating problems as well as how to cope with them.

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There are numerous forms of psychological therapies in high-end treatment centres in England, but they all include talking with a psychotherapist (a psychiatrist, psychologist or counsellor). These treatments are intended to assist you in better understanding your thoughts, behaviours, and relations so that you may make adjustments that will help you feel less disturbed and make daily life simpler.

The type of therapy provided by a psychotherapist may be one of the most significant factors to consider while choosing one. Based on the person and their level of recovery, various therapy options would function in different ways for different patients, some are more effective than others. The very first objective of treatment is usually to reduce eating disorder behaviours, and the following therapies presently have had the most evidence for success.

Acceptance And Commitment Therapy (ACT)

The purpose of ACT is to change your behaviours instead of your emotions and thoughts. Patients are encouraged to determine their basic values and submit to setting goals that reflect them. Patients are also encouraged to disconnect from their emotions and accept that pain and worry are a natural part of life, according to ACT. The idea is to live a genuine life, not to feel wonderful. People frequently discover that living a better lifestyle makes them feel better.

Enhanced Cognitive Behavioural Therapy (CBT-E) And Conventional Cognitive Behavioural Therapy (CBT)

A short-term, symptom-oriented, treatment that focuses on the attitudes, values, and cognitive functions that causes the eating disorder behaviour to go on. Its goal is to change skewed attitudes and beliefs regarding the interpretation of attractiveness, size, shape, and body weight, all of which are linked to the initiation and development of an eating disorder.

Cognitive Remediation Therapy (CRT)

CRT seeks to improve a person’s capacity to concentrate on several tasks. CRT uses simple tasks, contemplation, and supervised surveillance to address rigid thought patterns, which are a crucial element of anorexia nervosa. CRT is now being researched for people with anorexia to see if it can improve treatment adherence; it’s not been evaluated in other disordered eating behaviours.

Dialectical Behaviour Therapy (DBT)

It is a behavioural treatment for anorexia nervosa, bulimia nervosa, and binge eating disorder that is backed by scientific findings. DBT emphasizes that modifying behaviours is the most productive spot to start treatment. The goal of treatment is to teach you how to replace your eating disorder’s disruptive behaviour with healthy ones. The skills emphasise awareness, improving personal relations, emotion management, and discomfort tolerance. DBT was first created to address borderline personality disorder, but it is now used to treat eating disorders and substance misuse.

Treatment Based On Scientific Evidence

Although every one of these therapies is commonly used to treat people with eating disorders, each of these offers various levels of effectiveness and data to back them up. Evidence-based treatment, defined as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients,” is now widely recommended. Evidence-based care for eating disorders generally refers to a treatment that has been proven to be beneficial in a research study in lowering eating disorder symptoms, supporting weight recovery in underweight individuals, and reducing compulsive thoughts leading to disordered eating.

The term “evidence-based” does not imply that treatment benefits everyone; rather, it means that it benefits a large number of patients. Do additional study to determine which treatments might be most effective in addressing the related symptoms and mental problems. Bear in mind that not every therapist who claims to use a particular treatment method do so in all of their meetings. Certain CBT therapists, for instance, may take a more psychodynamic strategy into practice and only apply CBT concepts occasionally. Inquire well about the therapist’s adherence to treatment regulations, what a full session might include, how much training the counsellor has received in this specific therapeutic approach, the approximate proportion of patients they treat with this type of talk therapy, and how up to date is their current ED knowledge and experience.

Family-Based Treatment (FBT)

This home-based treatment technique also referred to as the Maudsley Approach or Maudsley Method, has been demonstrated to be successful for teenagers with bulimia and anorexia. Rather than focusing on the root of the eating disorder, FBT focuses on weight restoration and re-feeding to aid recovery. Treatment includes re-establishing appropriate eating, regaining weight, and halting compensatory behaviours, as well as restoring control of eating back to the teenagers and working on residual difficulties.

Interpersonal Psychotherapy (IPT)

The evidence-based therapy for binge eating disorder and bulimia nervosa is interpersonal psychotherapy (IPT). IPT puts symptoms of eating disorders in the context of their origin and their persistence in an interpersonal and social setting. IPT is tied to specific activities and tactics related to the settlement of a particular personal challenge. Anguish, social role conflicts, role transformation, and relational deficits are the four areas of concern that are dealt with in IPT. It assists in improving communication and relationship, as well as resolving interpersonal conflicts in the problem situation, resulting in a decrease in eating disorder symptoms. Healthy relations and changes in social communication and interaction are linked with symptom reduction, just as psychosocial dysfunction is linked to the emergence and persistence of eating disorder behaviours.

Psychodynamic Psychotherapy

Recovering from an eating disorder, as per the psychodynamic approach, necessitates an awareness of its core cause. Behaviours, according to psychodynamic therapists, are the product of internal disputes, impulses, and unconscious influences, and if behaviours are stopped without solving the underlying intent, recurrence will occur. Symptoms are considered as manifestations of the person’s underlying desires and concerns, and they are believed to be cured once these issues have been addressed.